| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: SILVERSTONE GROUP INCORPORATED | PO BOX 542006 OMAHA, NE 68154 | AMERITAS LIFE INSURANCE CORP. | $7K | $1K | $9K | 10.83% |
| J2T2 ENTERPRISES INC3 | 10135 S 162ND ST OMAHA, NE 68136 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 7.47% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: SILVERSTONE GROUP | 11516 MIRACLE HILLS DR STE 102 OMAHA, NE 68154 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 4.23% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: SILVERSTONE GROUP | 11516 MIRACLE HILLS DR STE 102 OMAHA, NE 68154 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 3.27% |
| KEVIN S HARRINGTON3 | 4800 HUDDERS FIELD CT LINCOLN, NE 68516 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.63% |
| TODD H BURRER3 | 17445 ARBOR ST STE 300 OMAHA, NE 68130 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.60% |
| MARK FRIEHE3 | 4611 S 96TH ST STE 101 OMAHA, NE 68127 | CONTINENTAL AMERICAN INSURANCE COMPANY | $599 | — | $599 | 0.92% |
| STEVEN R YENNEY3 | 278 N 115TH ST OMAHA, NE 68154 | CONTINENTAL AMERICAN INSURANCE COMPANY | $421 | — | $421 | 0.65% |
| THOMAS E SHEFFIELD3 | PO BOX 151 MCCOOL JUNCTION, NE 68401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $241 | — | $241 | 0.37% |
| RENEE J DOLLWET3 | 11110 3RD AVE E BRADENTON, FL 34212 | CONTINENTAL AMERICAN INSURANCE COMPANY | $235 | — | $235 | 0.36% |
| GREG A LITZ3 | 2005 GATEWAY DR GRAND FORKS, ND 58203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $216 | — | $216 | 0.33% |
| KRISTY M PIETRO3 | 530 S 161ST CIRCLE OMAHA, NE 68118 | CONTINENTAL AMERICAN INSURANCE COMPANY | $101 | — | $101 | 0.16% |
| CYNTHIA D WELKEN-PLACE3 | 14710 WEST DODGE RD STE 200 OMAHA, NE 68154 | CONTINENTAL AMERICAN INSURANCE COMPANY | $94 | — | $94 | 0.14% |
| MICHAEL COPPESS3 | 4910 DODGE ST STE 107 OMAHA, NE 68132 | CONTINENTAL AMERICAN INSURANCE COMPANY | $31 | — | $31 | 0.05% |
| KENNETH R THOMASON3 | 14710 WEST DODGE RD STE 200 OMAHA, NE 68154 | CONTINENTAL AMERICAN INSURANCE COMPANY | $31 | — | $31 | 0.05% |
| MICHAEL S CEJKA3 | 613 CEDAR ST HICKMAN, NE 68372 | CONTINENTAL AMERICAN INSURANCE COMPANY | $30 | — | $30 | 0.05% |
| KIMBERLY DIAN CROCKETT3 Filed as: KIMBERLY D CROCKETT | 732 SILVER SANDS DR CORDOVA, TN 38018 | CONTINENTAL AMERICAN INSURANCE COMPANY | $23 | — | $23 | 0.04% |
| FA LLC3 | 18025 OAK ST STE B OMAHA, NE 68130 | CONTINENTAL AMERICAN INSURANCE COMPANY | $19 | — | $19 | 0.03% |
| MIDLANDS FINANCIAL BENEFITS3 | 7101 S 82ND ST STE B LINCOLN, NE 68516 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 182 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 182 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF NEBRASKA | 230 | $902K |
| Dental | AMERITAS LIFE INSURANCE CORP. | 448 | $80K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 448 | $80K |
| Other | CONTINENTAL AMERICAN INSURANCE COMPANY | 270 | $65K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 448 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.